So worenya akisikuru wɔ wo honam ani mpofirim a ɛyɛ wo yaw? Eyi betumi ayɛ Bullous Pemphigoid!

So woanya akisikuru bi mpofirim wɔ wo honam ani a na enni hɔ kan, ne akisikuru a ɛyɛ wo yaw, ɛtɔ mmere bi a nsu ahyɛ mu ma? Ebia wobɛpɛ nso sɛ wuhu tebea bi a wɔfrɛ no bullous pemphigoid ho asɛm. Ɛyɛ honam ani yare a ɛntaa nsi, nanso ɛfata sɛ wohwɛ yiye. Momma yɛnka ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw a wubetumi ate ase so.

Dɛn ne Bullous Pemphigoid? Tebea bɛn na ɛyɛ?

Sɛ yɛbɛka no tiawa a, Bullous Pemphigoid yɛ honam ani yare a ɛntaa nsi a ɛma honam ani yɛ kɔkɔɔ a ɛyɛ yaw, te sɛ akisikuru. Ɛtɔ mmere bi a, saa welt ahorow yi betumi ayɛ akisikuru a nsu ahyɛ mu ma. Fa no sɛ nwansena a wɔaka no, a akisikuru akɛse a ɛyɛ no yaw pii.

Saa akisikuru yi betumi apue wɔ nipadua no fã ketewaa bi pɛ, anaasɛ ebetumi atrɛw wɔ nipadua no nyinaa mu. Wɔtaa hu wɔn wɔ mmeae a honam ani hwɛbea no bobɔw. Sɛ nhwɛso no, wɔ abasa ase (axilla), wɔ asen mu, anaa yafunu no so. Ebia nnipa binom nso benya saa akisikuru yi wɔ mmeae te sɛ ano mu, tɛkrɛma, menewa, aduan mu, anaa aniwa mpo.

Afei ebia worebisa wo ho sɛ, "Dɛn nti na eyi rekɔ so?" Bullous pemphigoid yɛ yare a nipadua no tumi ko tia nyarewa . Eyi kyerɛ sɛ yɛn nipadua mu tumi a ɛko tia nyarewa a wɔkyerɛ sɛ ɛbɔ yɛn ho ban no di mfomso tow hyɛ ntini a ɛwɔ yɛn ankasa honam ani no so. Ɛte sɛ yɛn ankasa asraafo a wɔreto ahyɛ yɛn ankasa man so.

Hena na ɛda adi kɛse sɛ obenya eyi? Ɛtaa ba dɛn?

Bullous pemphigoid yɛ tebea a ɛtaa ba nnipa a wɔadi boro mfe 60. Nanso, ebetumi aba mmerante ne mmabaa nso mu. Ɛwom sɛ abu so koraa wɔ Atɔe Fam aman mu de, nanso ɛntaa mma saa wɔ Asia aman mu, kyerɛ sɛ, yɛn wiase no fã.

Eyi betumi ato mmarima ne mmea nyinaa, ɛmfa ho sɛ ɔyɛ ɔbarima anaa ɔbea.

So abusuabɔ bi wɔ ntini mu nyarewa ahorow ntam?

Yiw, wɔahu sɛ nnipa a wɔwɔ ntini mu yare bi no betumi anya bullous pemphigoid kakra. Eyinom bi ne:

• Adwene mu yare
• Parkinson yare a ɛma obi nya yare
• Nnwodwoɔ
• Akisikuru
• Multiple sclerosis a ɛma obi ho kyere no

Eyi nkyerɛ sɛ obiara a ɔwɔ saa tebea horow yi benya bullous pemphigoid. Nanso, nnuruyɛfo ka sɛ ebia abusuabɔ bi wɔ hɔ.

Ɛtaa ba araa ma wɔbɔ amanneɛ sɛ nnipa dodow no ara nya bi 2.4 kosi 23 wɔ ɔpepem biara mu. Nanso, wɔ nnipa a wɔadi mfe 80 anaa nea ɛboro saa mu no, nnipa a wɔyare no yɛ 190 kosi 312 wɔ ɔpepem biara mu . Eyi kyerɛ sɛ sɛnea ɛbɛyɛ a wubenya bi no yɛ kɛse bere a worenyin no.

So bullous pemphigoid yɛ asiane? So ebetumi de nkwa ato asiane mu?

Ebia eyi bɛyɛ te sɛ nea ɛyɛ hu kakra ama wo. Nanso nokware no ni: woBullous pemphigoid betumi de wo nkwa ato asiane mu sɛ w’akwahosan nyɛ papa anaasɛ woansa no yiye a, titiriw sɛ wo akisikuru no bubu na nya ɔyare mmoawa a. Ɛno nti na yɛka sɛ sɛ wuhu biribi a ɛyɛ soronko a, kɔ oduruyɛfo nkyɛn ntɛm ara.

Dɛn ne sɛnkyerɛnne ahorow no? Woyɛ dɛn hu no?

Bullous pemphigoid ho sɛnkyerɛnne atitiriw ne akuru kɔkɔɔ pii a ɛyɛ yaw a ɛte sɛ eczema (welts) anaasɛ akisikuru a nsu ahyɛ mu ma (bullae) . Wɔtaa hu eyinom wɔ:

• Wɔ nsa mu
• Wɔ nan no mu
• Wɔ yafunu no fã hɔ
• Wɔ akyi berɛmo no mu
• Ano mu

Saa akisikuru yi taa ba wɔ honam ani no mpopaho, wɔ honam ani nsensanee no ho. Mpɛn pii no, ɛnyɛ yaw , nanso sɛ ɛbubu a, ebetumi ayɛ yaw na ayɛ yaw, na ebetumi abɛyɛ akuru mpo.

Ebia nsu a ɛwɔ akisikuru no mu no mu da hɔ anaasɛ mogya ayɛ mu ma kakra. Ebia honam ani a atwa akisikuru no ho ahyia no yɛ nea ɛfata anaasɛ ebia ne kɔla bɛsakra (kɔkɔɔ, kɔkɔɔ, bruu, anaa kɔla a ɛyɛ tuntum kakra sen wo honam ani hwɛbea).

Asɛmpa no ne sɛ ɛnyɛ nea ɛda adi koraa sɛ saa akisikuru ne akisikuru yi bɛma akuru aba.

Dɛn nti na bullous pemphigoid nyin? Dɛn na ɛde ba?

Sɛnea yɛadi kan aka no, bullous pemphigoid yɛ yare a nipadua no mu tumi a ɛko tia nyarewa no ntumi nyɛ adwuma yiye na ɛde ba. Nanso, nnuruyɛfo ne nhwehwɛmufo nnya nhuu ntease pɔtee biara a enti yɛn nipadua mu tumi a ɛko tia nyarewa no yɛ n’ade saa kwan yi so.

Nnuru bi betumi de tebea yi aba anaasɛ ama ayɛ kɛse. Sɛ nhwɛso no, asikreyare aduru a wɔfrɛ no alogliptin. Ultraviolet (UV) hann ne ionizing radiation a efi owia hann mu nso betumi ama tebea yi aba anaasɛ ama ayɛ kɛse.

So nnuan ne anonne bi betumi ama eyi ayɛ kɛse?

Eyi yɛ asɛm a nnipa pii bisa. Nokwarem no, nnuruyɛfo da so ara nni nyansahu mu adanse a emu da hɔ a ɛkyerɛ sɛ abusuabɔ bi da aduan ne bullous pemphigoid ntam. Nnipa binom ka sɛ wɔn yare no ho sɛnkyerɛnne atu mpɔn bere a wotwaa nnuan bi fi wɔn aduan mu no. Nanso, adanse a emu yɛ den biara nni hɔ a ɛkyerɛ sɛ eyi yɛ nokware de besi nnɛ.

Sɛ wowɔ bullous pemphigoid a, wo ne wo duruyɛfo nkasa mfa nkyerɛ sɛ ebia nnuan ne anonne bi a wubeyi afi hɔ no betumi aboa anaa. Ebia ɔbɛka akyerɛ wo sɛ yɛ aduan ho kyerɛwtohɔ . Afei wubetumi ahu sɛ ebia nnuan bi ma wo yare no ho sɛnkyerɛnne no mu yɛ den anaa. Sɛ wuhu sɛ wɔyɛ saa a, wubetumi ayi saa nnuan no afi hɔ nkakrankakra na woahwɛ sɛ ɛno boa anaa.

So eyi yɛ yare a wɔde kɔ nnipa mu?

Dabi, bullous pemphigoid nyɛ nea wɔde yare mmoawa ba. Ɛntumi ntrɛw nkɔ onipa foforo so denam honam ani honam ani a ɛbɛka honam ani. Enti mma ɛnhaw wo wɔ ho.

Ɔkwan bɛn so na oduruyɛfo hu eyi pɛpɛɛpɛ?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan ahwɛ wo honam ani mmeae a yare no. Afei wobebisa wo nsɛm bi. Nhwɛsoɔ:

• "Bere bɛn na saa sɛnkyerɛnne ahorow yi fii ase?"
• "Wowɔ akisikuru anaa mogya wɔ wo akisikuru mu?"
• "Wo nyaa atiridii?"
• "So woafi ase renom nnuru foforo bi?"

Bere a oduruyɛfo no abisa nsɛm te sɛ eyinom akyi no, ogyina mmuae a wode ma no so ba awiei titiriw bi.

Sɔhwɛ ahorow bɛn na wɔreyɛ ama eyi?

Nea ɛbɛyɛ na wo duruyɛfo no akyerɛ sɛ woahu yare no, ebia wobɛkamfo akyerɛ wo sɛ yɛ nhwehwɛmu ahorow yi:

• Mogya mu nhwehwɛmu: Wɔde ade ketewaa bi fa mogya a efi ntini bi a ɛwɔ wo nsa mu mu de kɔ aduruyɛdan mu kɔhwɛ.
• Skin biopsy: Nea ɛka eyi ho ne sɛ wobɛfa wo honam ani fã ketewaa bi na wode akɔ lab ma wɔayɛ ho nhwehwɛmu. Mpɛn pii no, eyi nkutoo ne ɔkwan a wɔfa so si nea ɛde tebea no ba ankasa so dua.

Dɛn ne ayaresa a eye sen biara?

Wɔ bullous pemphigoid a emu nyɛ den mu no, ayaresa a eye sen biara ne sɛ wɔde corticosteroid cream anaa srade bɛpete mmeae a ayɛ no tẽẽ.

Nanso, wɔ tebea horow a ɛkɔ fam kosi nea emu yɛ den mu no , wo duruyɛfo betumi ama wo nnuru a wɔde fa corticosteroid a wɔnom te sɛ prednisone , de aka corticosteroid cream ho. Ebia wɔbɛma wo nnuru afoforo a ɛma nipadua no tumi ko tia nyarewa nso a ebetumi aboa ma wɔatew steroid a wode di dwuma no so. Sɛ nhwɛso no, nnuru te sɛ dapsone, mycophenolate mofetil, azathioprine, methotrexate, anaa chlorambucil.

Sɛ wuntumi nnom corticosteroids anaa nnuru afoforo a ɛmma nipadua no tumi ko tia nyarewa a, ebia wo duruyɛfo bɛkyerɛw wo nnuru a wɔfrɛ no tetracycline anaa doxycycline .

Ɛtɔ mmere bi a, sɛ saa ayaresa ahorow yi ntumi nni yare no so (nsɛm a ɛnyɛ den) a, oduruyɛfo no betumi akamfo ayaresa te sɛ Rituximab anaa IVIG infusion (nsu a wɔde gu ntini mu) nso akyerɛ .

Nea ɛho hia sen biara ne sɛ, mfa nnuru biara nni dwuma a wonkɔ oduruyɛfo nkyɛn. Ɔno na ɔbɛkyerɛ ayaresa a ɛfata sen biara ama wo tebea no.

So nnuru bi wɔ hɔ a wobetumi ayɛ wɔ fie?

Ofie aduru pɔtee biara nni hɔ a wɔde sa bullous pemphigoid. Nanso, nneɛma bi wɔ hɔ a wubetumi ayɛ de aboa ma wo yare no ho sɛnkyerɛnne no so atew na ama wo ho atɔ wo kakra.

Sɛ wopɛ akisikuru a ɛwɔ honam ani a:

• Hyɛ ntade a ɛyɛ mmerɛw a ɛnyɛ den a wɔde abɔde mu nhama (e.g. cotton) ayɛ.
• Mma ntra owia mu nkyɛ dodo. Sɛ wokɔ abɔnten a, hyɛ aduru a ɛbɔ wo ho ban fi owia ho.
• Ma w’akuru anaa w’akuru ho ntew denam samina a ekum ɔyare mmoawa ne nsu a wode bɛhohoro so. Sɛ woyɛ eyi wie a, fa aduru a ekum ɔyare mmoawa gu akuru no so na fa aduru a ɛnyɛ nea wɔde nkata so kata so. Eyi betumi aboa ma wɔasiw ɔyare mmoawa ano.
• Sɛ wowɔ bullous pemphigoid wɔ wo nan so a, kwati sɛ wubegyina hɔ anaasɛ wobɛnantew bere tenten.
• Fa aduru a ɛma wo honam ani yɛ hyew, cream, akutu ngo, anaa shea bɔta gu wo honam ani na ama wo honam ani ayɛ nwini.

Sɛ wowɔ ano akuru a:

Sɛ wowɔ bullous pemphigoid lesions wɔ w’anom a, saa afotu yi betumi aboa wo ma woasiw aduannuru ho haw ahorow ano na woatew wo sɛnkyerɛnne ahorow no bi so:

• Di nnuan a ɛnyɛ dɛ te sɛ soup, nnuan a wɔayam, pudding, ne apɔw-mu-teɛteɛ.
• Sɛ woredi nnuan a ɛyɛ hyew a, twɛn kosi sɛ ɛbɛyɛ nwini ansa na woadi.
• Kwati sɛ wubedi nnuan a ɛyɛ mmerɛw na ano yɛ nnam (sɛ nhwɛso no, chips, cereal, paanoo a wɔayam, nhabannuru a wɔannoa ne nnuaba).
• Kwati sɛ wubedi nnuan a acid pii wom (sɛ nhwɛso no, chili, salsa, limes, tomato).
• Kwati nsa a wobɛnom.

Ɛrenkyɛ na me ho atɔ me bere a mafi ayaresa ase no?

Ɛsɛ sɛ wufi ase te nka sɛ wo ho tɔ wo wɔ nna kakraa bi akyi bere a woafi ayaresa ase no. Nanso, eyi betumi ayɛ soronko wɔ onipa biara ho.

So ɔkwan bi wɔ hɔ a wɔbɛfa so asiw eyi ano?

Nea ɛyɛ awerɛhow no, nnuruyɛfo ne nhwehwɛmufo da so ara nnim ɔkwan bi a wɔbɛfa so asiw bullous pemphigoid ano.

Sɛ minya saa yare yi a, dɛn na ɛba? Dɛn na ɛbɛba daakye?

Mpɛn pii no, Bullous pemphigoid no ankasa ho tɔ no wɔ bɛyɛ mfe anum ntam. Ɛyɛ n’ade yiye wɔ ayaresa ho. Nanso, ɛtɔ da bi a, yare no tumi sɔre na ɛtɔ mmere bi nso a, ebetumi akɔ yare no mu. Wɔ mmere a wo ho atɔ wo no, ebia wubetumi agyae ayaresa no (sɛ wo duruyɛfo de afotu ma wo).

Sɛ wo akisikuru no pae na nya ɔyare mmoawa a, ɛwɔ asiane mu sɛ wubenya tebea bi a ɛde wo nkwa to asiane mu a wɔfrɛ no sepsis . Enti, ɛho hia yiye sɛ wohwɛ wo akisikuru no so.

Mmere bɛn na eye sen biara a wubetumi akɔ oduruyɛfo nkyɛn?

Sɛ wowɔ akisikuru a wontumi nkyerɛkyerɛ mu a , kɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi. Sɛnea yɛadi kan aka no, ɛbɛyɛ papa sɛ wubehu yare no na woasa no ntɛm ara sɛnea wubetumi.

Nsɛmmisa a ɛho hia a ɛsɛ sɛ wubisa wo duruyɛfo

Sɛ wokɔ oduruyɛfo nkyɛn a, ebia ɛbɛyɛ nea mfaso wɔ so sɛ wubebisa nsɛm yi:

• "Wobɛyɛ dɛn aka sɛ mewɔ bullous pemphigoid?"
• "Sɛ minni bullous pemphigoid a, honam ani yare foforo bɛn na metumi anya?"
• "Mɛyɛ dɛn adi me yare no ho sɛnkyerɛnne ahorow ho dwuma?"
• "Nnuru bɛn na wokamfo kyerɛ me?"
• "So saa nnuru no wɔ nsunsuanso bɔne?"
• "Dɛn bio na ɛsɛ sɛ meyɛ na ama me yare no ho sɛnkyerɛnne atu mpɔn?"
• "Bere bɛn na menya saa bullous pemphigoid tebea yi?"
• "So ɛsɛ sɛ mekɔ honam ani yare ho oduruyɛfo anaa ɔbenfo foforo nkyɛn?"

Nsonsonoe bɛn na ɛda Bullous Pemphigoid ne Pemphigus Vulgaris ntam?

N’abien nyinaa yɛ nyarewa a ɛde akisikuru ba honam ani esiane nipadua no mu tumi a ɛko tia nyarewa no a entumi nyɛ adwuma yiye nti. Pemphigus vulgaris wɔ sɛnkyerɛnne ahorow a ɛte sɛ bullous pemphigoid. Nanso, pemphigus vulgaris taa fi ase wɔ ntini a ɛwɔ ano no mu no mu. Nnipa kakraa bi pɛ na wonya akisikuru wɔ wɔn honam ani. Afei nso, akisikuru a ɛwɔ pemphigus vulgaris mu no yɛ mmerɛw sen nea ɛwɔ bullous pemphigoid mu no.

Sɛ pemphigus vulgaris akisikuru pue a, ɛtaa yɛ akisikuru, na ɛnyɛ akisikuru a ɛnbubu te sɛ nea ɛte wɔ bullous pemphigoid mu no. Sɛ wowɔ pemphigus vulgaris a, ɛnyɛ den sɛ wo honam ani fã a ɛwɔ soro no bɛtetew afi ase ntoatoaso no ho denam nhyɛso anaasɛ wɔde petepete so kakra so (wɔfrɛ eyi Nikolsky sɛnkyerɛnne) .

Ɛwom sɛ ɛkame ayɛ sɛ obiara a ɔwɔ bullous pemphigoid no nya honam ani yare de, nanso wɔn mu bɛyɛ nkyem abiɛsa mu biako (33%) pɛ na wonya akisikuru wɔ wɔn ano .

Awiei koraa no, nkrasɛm a wɔde kɔ fie

Okay, enti yɛaka bullous pemphigoid ho asɛm pii. Nneɛma a ɛho hia paa a ɛsɛ sɛ wokae ni:

• Bullous pemphigoid yɛ ɔyare a ɛntaa nsi, a ɛko tia nyarewa a ɛma honam ani akisikuru anaa akuru ba.
• Eyi nyɛ nea ɛde ɔyare mmoawa ba.
• Ɛtaa ba nnipa a wɔn mfe akɔ anim so, nanso ebetumi aba mmerante ne mmabaa nso so.
• Sɛ wo honam ani yɛ kurukuruwa anaasɛ ɛyɛ wo yaw a ntease biara nnim a, kɔ oduruyɛfo nkyɛn ntɛm ara.
• Sɛ wɔsa no yiye a, wobetumi adi eyi so yiye, na bere kɔ so no, ebetumi aba sɛ ne ho bɛtɔ no koraa.
• Sɛ akisikuru no nya ɔyare no a, ebetumi ayɛ asiane, enti ɛho hia paa sɛ wobɛma ɛho tew.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, mma wo ho nnyɛ wo hu. Sɛ wudi nnuruyɛfo afotu akyi a, wubetumi ho atɔ wo ntɛm.

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